Grace, Annette Marie

Grace, Annette Marie is an individual health care provider with primary practice located at 1250 Hancock St , Quincy MA 02169-4339. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Grace, Annette Marie can be contacted via phone (617) 774-0600.

Contact Information

Primary practice address
1250 Hancock St Quincy MA 02169-4339
Phone: (617) 774-0600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 129706 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 129706 Massachusetts

Profile Details

NPI number 1285608760
LBN Legal business name Grace, Annette Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285608760 NPPES
Massachusetts Other PF367 HARVARD PILGRIM
Massachusetts MEDICAID 0380661 HARVARD PILGRIM
Massachusetts Other NP9999 HARVARD PILGRIM

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